Characteristics and effectiveness of cognitive behavioral therapy for older adults living in residential care: a systematic review

Chan, Phoebe and Bhar, Sunil and Davison, Tanya E. and Doyle, Colleen and Knight, Bob G. and Koder, Deborah and Laidlaw, Ken and Pachana, Nancy and Wells, Yvonne and Wuthrich, Viviana M. (2019) Characteristics and effectiveness of cognitive behavioral therapy for older adults living in residential care: a systematic review. Aging & Mental Health. pp. 1-20. ISSN 1360-7863

Abstract

Objectives: Cognitive behavioral therapy (CBT) for depression and anxiety for older adults living in residential aged care facilities (RACFs) needs to accommodate the care needs of residents and the circumstances of RACFs. This systematic review examines the delivery and content characteristics of these interventions, in relation to participant satisfaction, staff appraisal, uptake rate, attrition rate, and treatment effectiveness. Such a review could provide important information for the development of future CBT-based interventions.

Method: Studies that examined the application of CBT for depression or anxiety in RACFs were identified by systematically searching a number of relevant databases. Reference lists of all included studies were examined, and citation searches on the Web of Science were conducted. Two independent reviewers were involved in screening articles and in extracting data and assessing methodological quality of the selected studies.

Results: Across the 18 studies included in this review, the most common therapeutic strategy was pleasant activities scheduling. Studies varied on treatment duration (2–24 weeks), number of sessions (6–24), and length of sessions (10–120 min). Residents and staff members were satisfied with the CBT interventions. The average uptake rate was 72.9%. The average attrition rate was 19.9%. Statistically significant results were reported in 8 of the 12 randomized controlled trials (RCTs). In these eight RCTs, CBT was characterized by psychoeducation, behavioral activation, and problem-solving techniques; further, the therapists in six of these studies had training in psychology.

Conclusion: CBT interventions for depression and anxiety are acceptable to RACF residents and judged positively by staff members. Effective studies differed from non-effective studies on content and training characteristics, but not on other delivery features.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Files associated with this item cannot be displayed due to copyright restrictions.
Faculty/School / Institute/Centre: Current - Faculty of Health, Engineering and Sciences - School of Psychology and Counselling (1 Jan 2015 -)
Faculty/School / Institute/Centre: Current - Faculty of Health, Engineering and Sciences - School of Psychology and Counselling (1 Jan 2015 -)
Date Deposited: 20 Dec 2019 05:54
Last Modified: 17 Jan 2020 03:12
Uncontrolled Keywords: Cognitive behavioral therapy; residential aged care; characteristics;systematic review; depression; anxiety
Fields of Research : 11 Medical and Health Sciences > 1103 Clinical Sciences > 110308 Geriatrics and Gerontology
17 Psychology and Cognitive Sciences > 1701 Psychology > 170106 Health, Clinical and Counselling Psychology
Identification Number or DOI: 10.1080/13607863.2019.1686457
URI: http://eprints.usq.edu.au/id/eprint/37348

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